Ingrown toenails in children

Ingrown toenails in children are a common problem where the corner or side of a toenail grows into the soft flesh of the toe. This condition can cause pain, redness, swelling, and sometimes infection. It’s often seen in the big toe.

Causes

Improper Nail Trimming: Cutting toenails too short or not straight across can encourage a nail to grow into the skin.
Tight Shoes: Shoes that are too tight or small can push the nail into the surrounding skin.
Injury: Stubbing a toe or other trauma to the toe can lead to an ingrown toenail.
Poor Foot Hygiene: Not keeping the feet clean and dry can increase the risk of ingrown toenails.
Genetics: Some children may be predisposed to ingrown toenails due to the natural shape of their toenails.

Symptoms

Pain and Tenderness along one or both sides of the nail.
Redness around the toenail.
Swelling of the toe around the nail.
Infection of the tissue around the toenail can occur in more severe cases, indicated by increased pain, swelling, redness, and sometimes pus.

Treatment

Soaking the Foot: Soaking the affected foot in warm, soapy water several times a day can reduce swelling and ease pain.
Proper Nail Trimming: Trim the toenail straight across without rounding the corners, and avoid cutting them too short.
Wearing Proper Footwear: Ensure that shoes and socks are not too tight and allow enough room for the toes.
Antibiotics: In cases of infection, a doctor may prescribe antibiotics.
Surgical Treatment: In severe cases, a minor surgical procedure to remove the ingrown portion of the toenail may be necessary.

Prevention

Trim Toenails Correctly: Straight across and not too short.
Wear Well-Fitting Shoes: Shoes should be comfortable and not press on the toes.
Foot Hygiene: Regular washing and drying of the feet.
Avoid Toe Trauma: Protective footwear when needed to avoid injuries.

When to See a Doctor

Consult a healthcare provider if:

The pain is severe or spreading.
There is redness and swelling around the nail.
You notice signs of infection like pus or increased redness and warmth.
Home treatments have not helped.

Early treatment of an ingrown toenail can prevent complications, such as infection. It’s particularly important to see a doctor if your child has diabetes or another condition that causes poor blood flow to the feet, as even a minor foot injury can lead to more serious complications.